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Organization
NEIGHBORHOOD FAMILY WELLNESS MEDICAL P.C.
Active
Organization
NEIGHBORHOOD FAMILY WELLNESS MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETERI TETROK M.D. (OWNER)
(718) 293-2626
Entity
Organization
Contact information
Practice address
3706 PARK AVE, BRONX, NY 10456
(718) 293-2626
Mailing address
3706 PARK AVE, BRONX, NY 10456
(718) 293-2626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
214065-1
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699850909
INDIVIDUAL NPI NUMBER
NY
Enumeration date
04/01/2009
Last updated
04/01/2009
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